IVAN BAKER
Dependent on policy B02M000574
Claims
3
Attributed to this person
Charged
459.00
Total submitted
Denied
58.40
1 denied claims
Patient responsibility
0.00
Reported on the 835
Patient responsibility is the amount reported on the 835 as assigned to the patient — deductible, coinsurance or copay. It is not proof that the provider billed the member, that the member owes it, or that it was collected, and it is kept separate from denied amounts throughout.
Who this is
| Field | Value |
|---|---|
| Name | IVAN BAKER |
| Role on the policy | Dependent · relationship 01 |
| Policy | B02M000574 |
| Date of birth | 15 Jul 1963 |
| Plan | SILVER HMO |
| Covered from | 31 May 2025 |
| Covered to | open |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002407 | 24 Jun 2026 | 184.00 | CASCADE CARE | Not denied | — |
| CLM0002408 | 17 Feb 2026 | 61.00 | CASCADE CARE | Not denied | — |
| CLM0002406 | 30 Dec 2025 | 214.00 | CASCADE CARE | CARC 96 · NON_COVERED | 58.40 |